LigaSure血管闭合系统在Ivor Lewis食管癌切除术中的应用。
The use of LigaSure Vessel Sealing System in Ivor Lewis esophagectomy.
作者信息
Sayir Fuat, Cobanoğlu Ufuk, Sehitoğulları Abidin
机构信息
Department of Thoracic Surgery, Yuzuncu Yil University, Van, Turkey.
出版信息
J Cardiothorac Surg. 2012 Jan 24;7:10. doi: 10.1186/1749-8090-7-10.
BACKGROUND
This study investigated the results of the LigaSure Vessel Sealing System (LVSS), which has been routinely used in esophageal resections in our clinic since 2006.
METHODS
For this purpose, 60 patients who underwent Ivor Lewis esophagectomy were included in the study. The results were compared with the patients who underwent stomach mobilising procedure and esophagectomy with conventional methods (conventional group) before 2006 and the patients who underwent LVSS (group of LigaSure) in surgical cases after 2006. The cases were compared particularly in terms of intraoperative bleeding, operative time, duration of postoperative hospital stay, intraoperative complications, mortality, and morbidity.
RESULTS
Of the patients, 34 (% 56.6) were female and 26 (43.3%) were male, and the range of the age was between 33 and 78, and the mean age of the patients was 52.73 ± 11,617. While the amount of intraoperative bleeding was 321.864 ± 575.00 ml in the conventional group, this was found to be 370.31 ± 238.456 ml in the LigaSure group (p = 0.007). In the statistical evaluation of the operative time, the mean duration was determined as 310.00 ± 24.795 minutes in the conventional group, whereas it was determined as 265.16 ± 31.353 minutes in the LigaSure group (p = 0.001).
CONCLUSIONS
The use of LVSS was associated with a significant reduction in the operative time and the rate of intra-operative complications.
背景
本研究调查了自2006年以来在我们诊所常规用于食管切除术的LigaSure血管闭合系统（LVSS）的效果。
方法
为此，本研究纳入了60例行Ivor Lewis食管切除术的患者。将结果与2006年前采用传统方法进行胃游离术和食管切除术的患者（传统组）以及2006年后手术病例中采用LVSS的患者（LigaSure组）进行比较。特别比较了两组在术中出血、手术时间、术后住院时间、术中并发症、死亡率和发病率方面的情况。
结果
患者中，女性34例（56.6%），男性26例（43.3%），年龄范围在33至78岁之间，患者平均年龄为52.73±11.617岁。传统组术中出血量为321.864±575.00毫升，而LigaSure组为370.31±238.456毫升（p = 0.007）。在手术时间的统计评估中，传统组平均持续时间确定为310.00±24.795分钟，而LigaSure组为265.16±31.353分钟（p = 0.001）。
结论
使用LVSS可显著缩短手术时间并降低术中并发症发生率。
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